Organization Active NPI

Pioneer Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Sandpoint, ID
National Provider Identifier
1225701360
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PIONEER COUNSELING SERVICES, LLC
Practice address
819 Hwy 2
Suite 211
Sandpoint, ID 83864-1678
Phone
(208) 263-4145
Fax
(208) 263-4145
NPI assigned
Jul 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Barbara Ann Thompson, LCSW-33932NPI 1407218209
Title
Owner/Therapist
Phone
(208) 263-4145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

819 Hwy 2
Suite 211
Sandpoint, ID 83864-1678

Mailing address

819 Hwy 2
Suite 211
Sandpoint, ID 83864-1678
Phone (208) 263-4145

Other identifiers 1

IdentifierTypeStateIssuer
1407218209MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210901000587 ID Part B Supplier - Clinic/Group Practice 5799181608 Receives reassigned benefits from 1 practitioner
Practice locations: Sandpoint, ID

National Provider Directory

National Provider Directory

Locations

819 Highway 2
Ste 211
Sandpoint, ID 83864
Phone (208) 263-4145

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1225701360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 HWY 2",
            "address_2": "SUITE 211",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641678",
            "telephone_number": "208-263-4145",
            "fax_number": "208-263-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 HWY 2",
            "address_2": "SUITE 211",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641678",
            "telephone_number": "208-263-4145",
            "fax_number": "208-263-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "208-263-4145",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-33932"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407218209",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.